2014, Number 2
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Rev Med MD 2014; 5.6 (2)
Chronic kidney disease during pregnancy
Ibarra-Hernández M, Jiménez-Alvarado PM, Albarrán-López P, Botello-Ramírez SA
Language: Spanish
References: 24
Page: 119-125
PDF size: 553.62 Kb.
ABSTRACT
The high incidence and prevalence of chronic kidney disease is also reflected in the increase of pregnancies complicated
by this disease. However, the precise statistics when talking of the combination of both events are not exactly known.
Although the definition of chronic kidney disease associated to pregnancy is different in comparison to the chronic
kidney disease international guides such as KDIGO recently published in 2013, the complications of mother and child
are equal independently to the definition since unarguably the most important prognostic factor in the maternal-fetal
health is the grade of kidney function at the time of conception because the compensatory kidney mechanisms to
maintain a pregnancy in occasions are not sufficient or worsen after birth. Moreover, if the patient requires to start a
kidney replacement therapy with dialysis (BUN›50), it would imply an effort for any health institution, by increasing
the number of hours and days of therapy, clinical monitoring and biochemistry with the coordinated multidisciplinary
support of different specialties.
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